Coleman Shaw Torbert, MMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

260158 Issued in KY

Practice address

102 Winston Way Ste 3
Campbellsville, KY 42718-4991

Phone

(270) 832-7305

NPI assigned

Dec 22, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluegrass Professional Counseling LLCGroup PAC ID 3476815085, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bluegrass Professional Counseling, LLC

  • Professional Counselor
  • Munfordville, KY
  • NPI 1063899789
  Medicare reassignment Care Compare group NPD
• Kimberly Gambino LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Munfordville, KY
  • NPI 1417511973
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1740877976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WINSTON WAY STE 3",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427184991",
            "telephone_number": "270-832-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WINSTON WAY STE 3",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427184991",
            "telephone_number": "270-832-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORBERT",
        "first_name": "COLEMAN",
        "middle_name": "SHAW",
        "credential": "MMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "260158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CAMPBELLSVILLE",
            "affiliation": "N",
            "address_1": "102 Winston Way Ste 3",
            "city": "Campbellsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427184991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Tammy Lynn Thrasher, CSW
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• Tri-Generations LLC
• Tri-Generations LLC Central Ky
• Joy Trotter, M.S., OTR/L

• Professional Counselor in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.